PREMIER-COVENANT ASTC LLC (NPI# 1528622321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528622321 |
| Entity Type | Organization |
| Organization Name | PREMIER-COVENANT ASTC LLC |
| Practice Address |
6408 Papermill Dr Ste 220 Knoxville TN 37919-4858 |
| Practice Telephone | 8653065701 |
| Practice Fax Number | 8655847712 |
| Mailing Telephone | 8653065701 |
| Mailing Fax Number | 8655847712 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |
| Authorized Official Name | MR. KEVIN BURRIS (CEO) |
| Authorized Official Telephone | 8653065701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Ambulatory Surgery Center | Doing Business As Name - Organization |
| Street Address |
6408 PAPERMILL DR STE 220 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-4858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487071486 | Guardian Ambulatory Surgery Center | Clinic/Center | 1340 Papermill Pointe Way, Knoxville, TN 37909-1903 | 2014-03-27 |
| 1447599659 | Southeast Eye Surgery Center, LLC | Clinic/Center | 10025 Investment Dr, Ste 140, Knoxville, TN 37932-2664 | 2013-02-07 |
| 1811125149 | Knoxville Orthopaedic Surgery Center LLC | Clinic/Center | 256 Ft. Sanders West Blvd., Knoxville, TN 37922 | 2009-06-25 |
| 1447393194 | Knoxville Center for Reproductive Health, Inc. | Clinic/Center | 1547 W Clinch Ave, Knoxville, TN 37916-2501 | 2007-02-14 |
| 1609955517 | Knoxville Eye Surgery Center LLC | Clinic/Center | 140 Capital Drive Ste 2, Knoxville, TN 37922 | 2006-11-02 |
| 1689632119 | Children's West Surgery Center | Clinic/Center | 1020 Childrens Way, Knoxville, TN 37922-7712 | 2006-05-03 |
| 1023073954 | Knoxville Ambulatory Surgery Center Lp | Clinic/Center | 9300 Park West Blvd, Knoxville, TN 37923-4301 | 2006-04-20 |
| 1508845942 | Endoscopy Center of Knoxville Lp | Clinic/Center | 11440 Parkside Dr, Suite 100, Knoxville, TN 37934-1973 | 2006-01-13 |
| 1528047040 | Endoscopy Center of Knoxville Lp | Clinic/Center | 1311 Dowell Springs Blvd, Suite 200, Knoxville, TN 37909-2454 | 2006-01-12 |
| 1316928732 | St. Mary's Ambulatory Surgery Center LLC | Clinic/Center | 1515 Saint Mary St, Knoxville, TN 37917-4556 | 2005-11-11 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.